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07/11/2024 <br />NonProfits' Ins Alliance of CA <br />P. O. Box 49050 <br />San Jose, CA 951619050 <br />McDermott-Costa Co., Inc. <br />1045 MacArthur Blvd. <br />San Leandro, CA 94577 <br />ginae@mcdermottcosta.com <br />TRI-REA-01 <br />Tri-Valley R.E.A.C.H. Inc. <br />P.O. Box 5564 <br />Pleasanton, CA 94566 <br />2024-11395-PROP <br />06/15/2024 06/15/2025 <br />1352 Oak Vista Way <br />Pleasanton, CA 945567 <br />Building Replacement Cost - Special Form (Including theft)$242.000 $500 <br />Business Personal Property - Special Form (Including theft)$10,000 $500 <br />City of Pleasanton <br />P.O. Box 520 <br />Pleasanton, CA 94566 <br />(510) 357-3230 <br />LENDER'S LOSS PAYABLE <br />DATE (MM/DD/YYYY) <br />PHONEAGENCY COMPANY(A/C, No, Ext): <br />FAX E-MAIL(A/C, No): ADDRESS: <br />CODE: SUB CODE: <br />AGENCYCUSTOMER ID #: <br />INSURED LOAN NUMBER POLICY NUMBER <br />EFFECTIVE DATE EXPIRATION DATE <br />THIS REPLACES PRIOR EVIDENCE DATED: <br />LOCATION/DESCRIPTION <br />COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE <br />NAME AND ADDRESS <br />AUTHORIZED REPRESENTATIVE <br />CONTINUED UNTIL <br />TERMINATED IF CHECKED <br />ADDITIONAL INSURED LOSS PAYEE <br />MORTGAGEE <br />LOAN # <br />PERILS INSURED BASIC BROAD SPECIAL <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />PROPERTY INFORMATION <br />COVERAGE INFORMATION <br />REMARKS (Including Special Conditions) <br />CANCELLATION <br />ADDITIONAL INTEREST <br />ACORD 27 (2016/03) © 1993-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />EVIDENCE OF PROPERTY INSURANCE <br />Docusign Envelope ID: 11C641AB-2891-4975-A4A8-8C9C82562EF8